Effects of Walking Training on Different Surfaces on Walking Ability, Balance Control, Lower Limb Muscle Strength, and Falls in Ambulatory Patients With Spinal Cord Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- 10-meter walk test (10MWT)
研究概览
简要总结
The study compares effects of 4-week walking training program on a walking track with difference surface [WTDS] and a firm ground on functional ability of ambulatory individuals with incomplete spinal cord injury [iSCI], using within- and between-group comparisons.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age at least 18 years
- •Having an incomplete SCI (the American Spinal Cord Injury Association (ASIA) Impairment Scale or AIS C or D) (Kirshblum et al., 2011)
- •At a sub-acute or chronic stage of injury (post injury time: PIT > 3 months) (Wirth et al., 2008; Blackwell et al., 2001)
- •Able to walk with or without a walking device for at least 10m (Behrman et al., 2005; Lam et al., 2008; Jackson et al., 2008)
- •Having a body mass index (BMI) between 18.5-29.9 kg/m2 (Woo et al., 2007)
排除标准
- •Having an SCI from a progressive disease such as multiple sclerosis or malignancy
- •Having other medical conditions that might affect ambulatory ability, such as pain in the musculoskeletal system with an intensity of pain more than 5 out of 10 on a numeric rating pain scale (Dijkers, 2010), deformities of the spine and lower extremities (i.e. scoliosis, kyphosis, and equinovarus) and other neurological or other medical disorders (thromboembolism, autonomic dysreflexia).
- •Severe spasticity of the lower extremities (Modified Ashworth Scale (MAS) more than 2) (Bohannon & Smith, 1987; Scivoletto et al., 2008).
研究组 & 干预措施
Different surfaces
Subjects are trained to walk over a walking track with different surfaces (WTDS) for 5 days over 4 weeks.
干预措施: Rehabilitation therapy (Other)
overground
Subjects are trained to walk overground for 5 days over 4 weeks.
干预措施: Rehabilitation therapy (Other)
结局指标
主要结局
10-meter walk test (10MWT)
时间窗: Change over 4 weeks
Subjects walk at a comfortable pace along a 10m walkway. The test records the time use over the middle 4m of the walkway in order to minimize acceleration and deceleration effects. Then the average time over the 3 trials is converted to walking speed using the formula v=distance (m) /time (s)
次要结局
- Timed up and go test (TUGT)(Change over 4 weeks)
- Five times sit-to-stand test (FTSST)(Change over 4 weeks)
- 6-minute walk test (6MWT)(Change over 4 weeks)
- Incidence of fall(Six months after completing the training program.)
研究者
Sugalya Amatachaya
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University
Khon Kaen University